1
|
Abdekhodaie Z. The lived experience of bereaved Iranian families with COVID-19 grief. DEATH STUDIES 2022; 47:381-391. [PMID: 35475416 DOI: 10.1080/07481187.2022.2068698] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The present study investigated the lived experience of bereaved family members from grief due to COVID-19 using descriptive phenomenological method via in-depth interviews. The participants (N = 30) were spouses, children, parents, and siblings of the deceased. The obtained data from interviewing were analyzed using Colaizzi's method. Eight main themes were obtained. Findings suggest that society is confronted with the prolonged grief on a large scale and has put people in an existential experience situation. Different experiences, which have led to creation of new meaning in loss and life, has been able to help some post-traumatic growth in the bereaved.
Collapse
|
2
|
Factors impacting posttraumatic growth in head-and-neck cancer patients with oncologic emergencies. Support Care Cancer 2022; 30:4515-4525. [PMID: 35112211 DOI: 10.1007/s00520-021-06772-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Accepted: 12/18/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE To identify factors associated with posttraumatic growth (PTG) of head-and-neck cancer squamous cancer (HNC) patients with oncologic emergencies (OE) within the first six months post-treatment. METHODS We conducted a cross-sectional study of HNC patients in Taiwan from May 2019 to April 2021 using patient-reported outcomes. Patients were assessed for symptom distress, anxiety, fear of recurrence (FCR), and PTG. Multiple regression analysis was conducted to identify factors associated with PTG. The independent-samples t-test was used to compare PTG and its five specific domains in patients with low FCR, high FCR, low anxiety, and high anxiety. RESULTS Of the 114 patients surveyed, 46.5% reported little-to-no PTG, and 53.5% had moderate-to-high PTG. Greater PTG was associated with greater FCR, longer time since OE, less anxiety, having a cancer recurrence, and greater educational attainment. These factors explained 38.6% of the variance in PTG. CONCLUSION A notable proportion of HNC patients with OE-reported PTG but almost half-reported little-to-no PTG. PTG occurred most in the domain of appreciation of life. The study results also suggest that training patients in coping skills and inviting them to group growth experiences can help them increase PTG and cope with cancer-related psychological threats related to OE.
Collapse
|
3
|
ALKAN A, KÖKSOY EB, KARCI E, ALKAN A, BRUERA E, ÇAY ŞENLER F. Posttraumatic growth and death anxiety in caregivers of cancer patients: PHOENIX study. Turk J Med Sci 2020; 50:1364-1370. [PMID: 32490635 PMCID: PMC7491265 DOI: 10.3906/sag-2001-228] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 05/19/2020] [Indexed: 11/21/2022] Open
Abstract
Background/aim Posttraumatic growth (PTG) is defined as positive psychological changes following a challenging or traumatic life event. The purpose of this study is to define the predictors of PTG and death anxiety (DAN) in caregivers of cancer patients and evaluate the impact of DAN on PTG. Materials and methods The caregivers of cancer patients were evaluated using structured questionnaires, including a validated PTG scale and Templer death anxiety scale. Results In 3 different cancer centers, 426 participants were evaluated. In multivariate analysis of factors associated with PTG, a high DAN score was the only parameter associated with high PTG scores [OR: 1.6, CI (95%) 1.02–2.5, P = 0.03]. In multivariate analysis of factors associated with DAN, female sex was the only risk factor for high DAN scores [OR: 1.6, CI (95%) 1.1–2.8, P = 0.049]. There was a positive correlation between PTG and DAN scores (r = 0.15, P = 0.001). Higher DAN scores were associated with positive impacts on self-perception (37.0 versus 35.0, P = 0.02), philosophy of life (16.0 versus 13.0, P = 0.035), and changes in relationship (16.0 versus 14.0, P = 0.01) Conclusions This is the first report regarding the association between DAN and PTG. We found a positive impact of death anxiety on psychological changes in caregivers of cancer patients.
Collapse
Affiliation(s)
- Ali ALKAN
- Department of Medical Oncology, Faculty of Medicine, Muğla Sıtkı Koçman University, MuğlaTurkey
| | - Elif Berna KÖKSOY
- Department of Medical Oncology, Faculty of Medicine, Ankara University, AnkaraTurkey
| | - Ebru KARCI
- Department of Medical Oncology, Bağcılar Education and Research Hospital, İstanbulTurkey
| | - Aslı ALKAN
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Muğla Sıtkı Koçman University, MuğlaTurkey
| | - Eduardo BRUERA
- Department of Palliative, Rehabilitation, and Integrative Medicine; the University of Texas MD Anderson Cancer Center, Houston, TexasUSA
| | - Filiz ÇAY ŞENLER
- Department of Medical Oncology, Faculty of Medicine, Ankara University, AnkaraTurkey
| |
Collapse
|
4
|
Ajoudani F, Jafarizadeh H, Kazamzadeh J. Social support and posttraumatic growth in Iranian burn survivors: The mediating role of spirituality. Burns 2019; 45:732-740. [DOI: 10.1016/j.burns.2018.10.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Revised: 10/09/2018] [Accepted: 10/15/2018] [Indexed: 12/22/2022]
|
5
|
|
6
|
Rzeszutek M, Gruszczyńska E. Posttraumatic growth among people living with HIV: A systematic review. J Psychosom Res 2018; 114:81-91. [PMID: 30314584 DOI: 10.1016/j.jpsychores.2018.09.006] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 08/04/2018] [Accepted: 09/08/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES The aim of this systematic review was to analyse, synthesise and review existing results on posttraumatic growth (PTG) among PLWH. In particular, we investigated the relationship of PTG with sociodemographic, HIV-related clinical variables, positive and negative psychological correlates as well as HIV-related social issues among PLWH. METHOD A literature search was performed on Web of Science, PsyARTICLES, MedLine, Proquest and Scopus databases using appropriate descriptors for positive changes among PLWH. Articles were analysed by title, abstract, and full text. RESULTS We accepted a set of 24 articles for systematic review and analysis. Consistent findings were obtained with respect to the positive association between psychological and social correlates (optimism, resilience, positive reappraisal coping, positive affect, self-efficacy and social support) and PTG among PLWH. PTG was also negatively related to various aspects of HIV-related distress (depression, substance use, PTSD symptoms, HIV stigma). On the contrary, sociodemographic and especially HIV-related clinical variables were mostly unrelated to PTG among PLWH. CONCLUSIONS The self-reported PTG among PLWH may be related to psychological variables rather than to objective characteristics of HIV infection itself. Nevertheless, several aspects of research on PTG among PLWH require modification, both theoretically and methodologically.
Collapse
Affiliation(s)
- Marcin Rzeszutek
- Faculty of Psychology, University of Warsaw, Stawki 5/7, 00-183 Warsaw, Poland.
| | - Ewa Gruszczyńska
- Faculty of Psychology, University of Social Sciences and Humanities, Chodakowska 19/31, 03-815 Warsaw, Poland.
| |
Collapse
|
7
|
Posttraumatic Growth, Meaningfulness, and Social Support in Women with Breast Cancer. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2018. [DOI: 10.5812/ijcm.11469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
8
|
Seyed Bagheri SH, Iranmanesh S, Rayyani M, Dehghan M, Tirgari B, Hosseini SH. Post-traumatic stress and growth among CPR survivors in the southeast of Iran. Int J Adolesc Med Health 2018; 32:ijamh-2017-0138. [PMID: 29332015 DOI: 10.1515/ijamh-2017-0138] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Accepted: 09/17/2017] [Indexed: 11/17/2022]
Abstract
Abstract
Background
Almost 7.2%–10.6% of patients survive CPR in Iran. Most of them experience post-traumatic stress disorder (PTSD) and post-traumatic growth (PTG). There are limited studies to assessing the correlation between these two psychological outcomes among CPR survivors.
Objective
This study aimed to examine the correlation between PTSD and PTG among CPR survivors in South-East Iran.
Subjects
Using Quota sampling, 163 CPR survivors in two provinces in the South-East of Iran were selected to participate in this study.
Method
A descriptive-correlational study was used to fulfill the aim of the study. The impact of Event Scale-Revised (IES-R) for assessing PTSD and Post-traumatic growth questionnaires were used to assess PTG.
Results
The mean score of PTSD was 39.89 and according to the cutoff point, 87.1% of participants suffered from PTSD. The mean score of PTG was 78.6. PTSD and PTG had significant negative correlation. The result of multi-variate logistic regression showed that only the PTG score predicted PTSD (Odds ratio = 0.79, CI = 0.72–0.87; and p < 0.001). The result of multi-variate linear regression indicated that PTSD, time passed since CPR, and physical disability caused by CPR predicted PTG score significantly.
Conclusion
This study provides CPR survivors and health care personnel with some valuable insights about cultural aspects of PTSD and PTG among CPR survivors and that PTG is positively influenced by physical disability and time passed since CPR. CPR survivors may gain positive experience and valuable insight in group meetings and discussions with their counterparts.
Collapse
Affiliation(s)
- Seyed Hamid Seyed Bagheri
- Nursing research center, Razi School of Nursing and Midwifery , Kerman University of Medical Sciences , Kerman , Iran
| | - Sedigheh Iranmanesh
- Nursing research center, Razi School of Nursing and Midwifery , Kerman University of Medical Sciences , Kerman , Iran , Phone: +989134421012, Fax: +983431325218
| | - Masoud Rayyani
- Nursing research center, Razi School of Nursing and Midwifery , Kerman University of Medical Sciences , Kerman , Iran
| | - Mahlagha Dehghan
- Nursing Research Center , Kerman University of Medical Sciences , Kerman , Iran
| | - Batool Tirgari
- Nursing research center, Razi School of Nursing and Midwifery , Kerman University of Medical Sciences , Kerman , Iran
| | | |
Collapse
|
9
|
Casellas-Grau A, Ochoa C, Ruini C. Psychological and clinical correlates of posttraumatic growth in cancer: A systematic and critical review. Psychooncology 2017; 26:2007-2018. [PMID: 28317221 DOI: 10.1002/pon.4426] [Citation(s) in RCA: 118] [Impact Index Per Article: 16.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2016] [Revised: 02/13/2017] [Accepted: 03/15/2017] [Indexed: 11/10/2022]
Abstract
OBJECTIVE The objective of this study is to describe major findings on posttraumatic growth (PTG) in cancer, by analyzing its various definitions, assessment tools, and examining its main psychological and clinical correlates. METHODS A search in relevant databases (PsycINFO, Pubmed, ProQuest, Scopus, and Web of Science) was performed using descriptors related to the positive reactions in cancer. Articles were screened by title, abstract, and full text. RESULTS Seventy-two met the inclusion criteria. Most articles (46%) focused on breast cancer, used the PTG inventory (76%), and had a cross-sectional design (68%). The PTG resulted inversely associated with depressive and anxious symptoms and directly related to hope, optimism, spirituality, and meaning. Illness-related variables have been poorly investigated compared to psychological ones. Articles found no relationship between cancer site, cancer surgery, cancer recurrence, and PTG. Some correlations emerged with the elapsed time since diagnosis, type of oncological treatment received, and cancer stage. Only few studies differentiated illness-related-life-threatening stressors from other forms of trauma, and the potentially different mechanisms connected with PTG outcome in cancer patients. CONCLUSIONS The evaluation of PTG in cancer patients is worthy, because it may promote a better adaption to the illness. However, many investigations do not explicitly refer to the medical nature of the trauma, and they may have not completely captured the full spectrum of positive reactions in cancer patients. Future research should better investigate issues such as health attitudes; the risks of future recurrences; and the type, quality, and efficacy of medical treatments received and their influence on PTG in cancer patients.
Collapse
Affiliation(s)
- Anna Casellas-Grau
- Hospital Duran i Reynals. Avinguda de la Gran Via, Institut Català d'Oncologia, Barcelona, Spain
| | - Cristian Ochoa
- Hospital Duran i Reynals. Avinguda de la Gran Via, Institut Català d'Oncologia, Barcelona, Spain.,Facultat de Psicologia. Edifici Ponent - Planta baixa, Universitat de Barcelona, Barcelona, Spain
| | - Chiara Ruini
- Department of Psychology, University of Bologna, Bologna BO, Italy
| |
Collapse
|
10
|
Aflakseir A, Nowroozi S, Mollazadeh J, Goodarzi MA. The Role of Psychological Hardiness and Marital Satisfaction in Predicting Posttraumatic Growth in a Sample of Women With Breast Cancer in Isfahan. IRANIAN JOURNAL OF CANCER PREVENTION 2016; 9:e4080. [PMID: 27761204 PMCID: PMC5055761 DOI: 10.17795/ijcp-4080] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Revised: 02/10/2016] [Accepted: 05/30/2016] [Indexed: 01/01/2023]
Abstract
Background Posttraumatic growth (PTG) refers to positive psychological change experienced as a result of the struggle with highly challenging life circumstances. PTG in cancer survivors is related to several psychosocial factors such as psychological hardiness and marital satisfaction. Objectives The purpose of this study was to examine the prediction of posttraumatic growth based on psychological hardiness and marital satisfaction. Patients and Methods A total of 120 women with breast cancer were recruited from several hospitals in Isfahan using convenience sampling. Participants completed the research questionnaires including the posttraumatic growth inventory (PTGI), the Ahvaz psychological hardiness scale and the Enrich’s marital satisfaction scale (EMS). Statistical analysis including means, standard deviation, Pearson’s correlation and multiple regression analysis were carried out using SPSS software (version 16). Results Results indicated that the majority of patients with cancer experienced posttraumatic growth. Findings also showed that psychological hardiness, marital satisfaction and longer time since diagnosis of cancer significantly predicted posttraumatic growth. Conclusions This study highlights the significant role of psychological hardiness and marital support in personal growth of breast cancer survivors.
Collapse
Affiliation(s)
- Abdulaziz Aflakseir
- Department of Clinical Psychology, School of Education and Psychology, University of Shiraz, Shiraz, IR Iran
| | - Safoora Nowroozi
- Department of Clinical Psychology, School of Education and Psychology, University of Shiraz, Shiraz, IR Iran
| | - Javad Mollazadeh
- Department of Clinical Psychology, School of Education and Psychology, University of Shiraz, Shiraz, IR Iran
| | - Mohammad Ali Goodarzi
- Department of Clinical Psychology, School of Education and Psychology, University of Shiraz, Shiraz, IR Iran
| |
Collapse
|
11
|
Abdollahzadeh F, Moradi N, Pakpour V, Rahmani A, Zamanzadeh V, Mohammadpoorasl A, Howard F. Un-met supportive care needs of Iranian breast cancer patients. Asian Pac J Cancer Prev 2016; 15:3933-8. [PMID: 24935576 DOI: 10.7314/apjcp.2014.15.9.3933] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. MATERIALS AND METHODS A descriptive- correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. RESULTS Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. CONCLUSIONS The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.
Collapse
Affiliation(s)
- Farahnaz Abdollahzadeh
- Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran E-mail :
| | | | | | | | | | | | | |
Collapse
|
12
|
Tahory H, Mohammadian R, Rahmani A, Seyedrasooli A, Lackdezajy S, Heidarzadeh M. Viewpoints of Family Caregivers about Posttraumatic Growth in Cancer Patients. Asian Pac J Cancer Prev 2016; 17:755-8. [PMID: 26925675 DOI: 10.7314/apjcp.2016.17.2.755] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Hale Tahory
- Medical andSurgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran E-mail :
| | | | | | | | | | | |
Collapse
|
13
|
Faghani S, Mohammadian R, Rahmani A, Mohajjel-Aghdam AR, Hassankhani H, Azadi A. Supportive Care Needs of Iranian Cancer Survivors and Relationships with Social Support. Asian Pac J Cancer Prev 2015; 16:6339-45. [DOI: 10.7314/apjcp.2015.16.15.6339] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
14
|
Mehrabi E, Hajian S, Simbar M, Houshyari M, Zayeri F. Post-traumatic growth: a qualitative analysis of experiences regarding positive psychological changes among Iranian women with breast cancer. Electron Physician 2015; 7:1239-46. [PMID: 26435823 PMCID: PMC4590559 DOI: 10.14661/1239] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2015] [Accepted: 08/10/2015] [Indexed: 11/06/2022] Open
Abstract
INTRODUCTION Cancer diagnosis is an extremely stressful experience that has a profound impact on a patient's life. Cancer related perceived stress and complications may lead to the experience of positive psychological changes and post-traumatic growth (PTG). Since there is lack of qualitative research assessing the experience of PTG in Iranian women with breast cancer, this study aims to investigate experiences relating to PTG of Iranian women. METHODS A qualitative phenomenological approach was selected to explore the experiences of Iranian women with PTG. Data were gathered using semi-structured, in-depth interviews with 18 eligible patients, which were then transcribed and analyzed using Van Manen's thematic analysis approach. Data gathering and analyses were conducted simultaneously. In addition, MAXQDA software was used for data management. RESULTS In this study, the participants were 18 Iranian women between the ages of 31 and 65 years. Four prominent themes were extracted from the participant's statements that demonstrated the Iranian women's experiences with breast cancer-induced psychological growth and maturity: 1) appreciate of life, 2) stability, 3) spiritual prosperity, and 4) effective interaction. CONCLUSION Health care professionals are strongly recommended to design robust and timely intervention programs to improving PTG among breast cancer survivors and reduce their perceived distress resulting from cancer diagnosis.
Collapse
Affiliation(s)
- Esmat Mehrabi
- Ph.D. Candidate of Reproductive Health, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sepideh Hajian
- Ph.D. of Reproductive Health, Assistant Professor, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Masoomeh Simbar
- Ph.D. of Reproductive Health, Associate Professor, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran Iran
| | - Mohammad Houshyari
- Oncologist, Assistant Professor, Shohada-e-Tajrish Hospital, Department of Radiation Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farid Zayeri
- Ph.D. of Statistics, Associate Professor, Department of Biostatistics. Shahid Beheshti University of Medical Sciences, Tehran Iran
| |
Collapse
|
15
|
Leong Abdullah MFI, Nik Jaafar NR, Zakaria H, Rajandram RK, Mahadevan R, Mohamad Yunus MR, Shah SA. Posttraumatic growth, depression and anxiety in head and neck cancer patients: examining their patterns and correlations in a prospective study. Psychooncology 2015; 24:894-900. [DOI: 10.1002/pon.3740] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Revised: 11/14/2014] [Accepted: 11/24/2014] [Indexed: 11/05/2022]
Affiliation(s)
| | - Nik Ruzyanei Nik Jaafar
- Department of Psychiatry; Universiti Kebangsaan Malaysia Medical Centre; Kuala Lumpur Malaysia
| | - Hazli Zakaria
- Department of Psychiatry; Universiti Kebangsaan Malaysia Medical Centre; Kuala Lumpur Malaysia
| | - Rama Krsna Rajandram
- Department of Oral and Maxillofacial Surgery; Universiti Kebangsaan Malaysia Medical Centre; Kuala Lumpur Malaysia
| | - Raynuha Mahadevan
- Department of Psychiatry; Universiti Kebangsaan Malaysia Medical Centre; Kuala Lumpur Malaysia
| | - Mohd Razif Mohamad Yunus
- Department of Otorhinolaryngology; Universiti Kebangsaan Malaysia Medical Centre; Kuala Lumpur Malaysia
| | - Shamsul Azhar Shah
- Department of Epidemiology and Public Health; Universiti Kebangsaan Malaysia Medical Centre; Kuala Lumpur Malaysia
| |
Collapse
|